智利 2019 年危机：需要根本性变革，而不仅仅是对卫生系统进行技术性修复。
The 2019 crisis in Chile: fundamental change needed, not just technical fixes to the health system.
机构信息
Instituto de Salud Pública, Facultad de Medicina, Universidad Austral de Chile, Avenida senador Carlos Acharán Arch, Campus Isla Teja, Valdivia, Chile.
Global Public Health and Political Science at the University of Michigan, Ann Arbor, MI, USA.
出版信息
J Public Health Policy. 2020 Dec;41(4):535-543. doi: 10.1057/s41271-020-00241-2.
Abstract
Chile has been viewed as an exemplar of social and economic progress in Latin America, with its health system attracting considerable attention. Eruption of widespread civil disorder marred this image in 2019. We trace the evolution of Chilean health policy and place it in context with developments in other sectors, pensions and education. We argue that much has been achieved, but further progress will necessitate politicians tackling the enduring power of elites that has prevented reform of a two-tier system enshrined in policies of the dictatorship.
摘要
智利一直被视为拉丁美洲社会和经济进步的典范，其医疗体系备受关注。2019 年，一场广泛的社会动荡破坏了这一形象。我们追溯了智利卫生政策的演变，并将其置于其他部门、养老金和教育的发展背景下进行探讨。我们认为，智利已经取得了很多成就，但要取得进一步的进展，就需要政治家们解决精英阶层的持久权力问题，这些权力阻碍了在独裁政策下建立的双轨制改革。
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